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GÖKDEMİR, YASEMİN

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Author: YILMAZ YEĞİT, CANSU × Has files: false ×

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    The utility of risk assessment tools for acute pulmonary embolism in children
    (2022-09-01) ERGENEKON, ALMALA PINAR; YILMAZ YEĞİT, CANSU; SELÇUK, MERVE; TRUE, ÖMER; ERDEM ERALP, ELA; GÖKDEMİR, YASEMİN; KARADAĞ, BÜLENT TANER; ERGENEKON A. P. , YILMAZ YEĞİT C., Cenk M., Gulieva A., Kalyoncu M., SELÇUK M., DOĞRU Ö., ERDEM ERALP E., GÖKDEMİR Y., Karakoc F., et al.
    Background and Aim Pulmonary embolism (PE) is a potentially life-threatening disease in children. The objective of the study is to evaluate the utility of adult-based pulmonary embolism rule-out criteria (PERC), Pediatric PE Model, and D-dimer in the diagnosis of PE in children. Material and Methods The study consisted of patients under 18 years of age who were consulted to the Pediatric Pulmonology Clinic for the evaluation of PE. Patients were divided into two groups based on the confirmation of PE. The group with the presence of PE (n = 20) consisted of children who were diagnosed with PE. The group with the absence of PE (n = 28) consisted of children with clinically suspected PE but negative diagnostic imaging. Adult validated clinical decision PERC rule and Pediatric PE Model were retrospectively applied to the patients. Results In the study, PERC demonstrated a sensitivity of 60% and a specificity of 46% for the diagnosis of PE in children. When PE Model was evaluated for the children, it was found a 50% sensitivity and 75% specificity. Combining PE Model and PERC rule with D-dimer did not increase the specificity and sensitivity. Smoking was found to be relevant for PE in the childhood. Twenty-five percent of the patients had a genetic tendency for PE. All of the patients had an underlying disease as well. Conclusion None of the current risk assessment tools (PE Model, PERC, D-dimer) were found to be accurate in predicting PE. Further larger population studies are still required to develop a better diagnostic approach.
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    The effects of nebulizer hygiene training on the practices of cystic fibrosis patients and caregivers
    (WILEY, 2021) ERGENEKON, ALMALA PINAR; Yilmaz Yegit, Cansu; Ergenekon, Almala Pinar; Mursaloglu, Huseyin Hakan; Cenk, Muruvvet; Uzunoglu, Burcu Suzer; Tastan, Gamze; Gokdemir, Yasemin; Erdem Eralp, Ela; Karakoc, Fazilet; Nasr, Samya Z.; Karadag, Bulent
    Background Nebulizers can be contaminated with microorganisms and may be a source of infection in the lower airways in patients with cystic fibrosis (CF). Objective Primary aim of this study was to determine the level of knowledge regarding nebulizer hygiene and adherence to CF foundation infection prevention and control (IPC) measures of CF patients in our center. We also evaluated the effect of a standardized training program on nebulizer cleaning and disinfection practises with pre and posttest. Methods Caregivers of 173 CF patients followed at Marmara University CF Center filled a questionnaire (pretest) regarding nebulizer hygiene and received didactic education including pictures and videos based on the cystic fibrosis foundation (CFF) IPC guidelines, patients were also provided educational materials. Posttest was performed 1-3 months after the education session. Results Following standardized training, usage of appropriate methods according to CFF IPC guidelines improved significantly. Frequency of nebulizer cleaning after each use increased from 58.4% to 78% (p < .01) and disinfection frequency after each/daily usage increased from 33.6% to 75.7% (p < .01). Additionally, methods of cleaning and storage of the nebulizer, also improved significantly (p < .01, p < .01). Conclusion Education was highly effective to increase the rate of proper practices for nebulizer hygiene. The necessity of cleaning, disinfection, careful drying, correct storage of the nebulizer parts, and changing the nebulizer equipment within recommended time should be emphasized to CF families regularly.
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    Screening of depression and anxiety in adolescents with cystic fibrosis and caregivers in Turkey by PHQ-9 and GAD-7 questionnaires
    (WILEY, 2021) KARADAĞ, BÜLENT TANER; Mursaloglu, H. Hakan; Yilmaz Yegit, Cansu; Ergenekon, Almala P.; Gokdemir, Yasemin; Eralp, Ela E.; Karakoc, Fazilet; Nasr, Samya Z.; Karadag, Bulent T.
    Background Depression and anxiety symptoms in patients with cystic fibrosis (CF) and their caregivers are 2-3 times higher than in the normal population. This study aims to evaluate the frequency and severity of depression and anxiety symptoms and to determine possible risk factors in CF patients and their mother and/or fathers at Marmara University CF center. Methods The study included 132 CF patients who were followed up at our CF center. Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Questionnaire (GAD-7) were used to screen depression and anxiety. The questionnaires were completed by 50 CF patients (aged 12-17 years) and 132 parents of patients (aged 0-17 years). Results While moderate to severe depressive symptoms were seen in 26% of patients, 33.7% of mothers and 14.6% of fathers; moderate to severe anxiety were present in 18%, 21.8% and 8.5%, respectively. None of the demographic characteristics was identified as a predictor of depression or anxiety. GAD-7 scores have shown a higher prevalence of anxiety in mothers of patients with chronic methicillin-resistant Staphylococcus aureus (p = .034). Additionally, hospitalization in the last 12 months was significantly correlated with higher PHQ-9 scores in fathers (p = .043). Analysis of patients' adherence to medical treatment and airway clearance showed higher depression and anxiety in mothers of the nonadherent group (p = .002). Conclusion Depression and anxiety were common in CF patients and their parents. These results illustrate the importance of depression/anxiety screening and psychosocial support for the CF patient and their parents.
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    Nöromusküler hastalık tanılı çocuklarda solunum bulguları ve solunum sisteminin değerlendirilmesinde kullanılan testler
    (Türkiye Klinikleri Yayınevi, 2023-09-01) YILMAZ YEĞİT, CANSU; GÖKDEMİR, YASEMİN; Yılmaz Yeğit C., Gökdemir Y., Karakoc F.
    Nöromusküler hastalık tanılı çocuklar, solunum sistemi komplikasyonları açısıdan oldukça riskli bir gruptur. Morbidite ve mortaliteden de büyük ölçüde solunum sistemi komplikasyonları sorumludur. Solunum kaslarında zayıflık, inefektif öksürük, eşlik edebilen skolyoz ve göğüs deformitesi ve artmış aspirasyon riski gibi pek çok neden solunum fonksiyonlarını olumsuz etkilemektedir. Klinik değerlendirmenin yanında, solunum fonksiyon testleri, uyku çalışmaları ve solunumsal kas gücünün değerlendirildiği testler, riskli hastaların erken belirlenmesi ve gerekli müdahalelerin yapılması açısından oldukça önemlidir. Nöromusküler hastalık tanılı tüm çocuklar, düzenli olarak çocuk göğüs hastalıkları hekimi tarafından takip edilmelidir.